NPI 1306819941 · live from the CMS NPI Registry
David B Eberly, PA-C
Physician Assistant in Grand Forks, ND. National Provider Identifier 1306819941, active.
NPI record
| NPI | 1306819941 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4700 S Washington St Ste G, Grand Forks, ND 58201 |
| Practice phone | 701-205-3000 |
| Mailing address | Po Box 5210, Grand Forks, ND 58206 |
| Enumerated | February 13, 2006 |
| Last updated | January 6, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 12819 (MN) |
| Physician Assistant | 363A00000X | PA10003354 (WA) |
| Physician Assistant primary | 363A00000X | PAC0596 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.